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Cervical IMRT- Adaptive

• ITV to cover all bladder filling

• Bladder full & empty planning CT

• Full and empty plan if ‘mover’

• Fiducial markers in cervix

• Soft tissue matching

• 3D-CRT back up plan (18%)

uterus out 27.5%

markers out 21.3%

both out 21.7%

poor CBCT 10.5%

Heijkoop, IJROBP 2014; 90: 673-679